| NPI | 1245759232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELENA KWAKWA Medical Director 215-941-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: PA MD058142L) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2022-07-21 |